Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, doctor. Two years ago, I was struck on the head by a metal pipe while working. At the time, I was unsure if there was any damage, so I went to an orthopedic doctor for an X-ray. The doctor said there were no fractures in my skull. After two months, I consulted ...
Dr. Zhang Junwei Reply:
Basically, a minor impact from two years ago should not have any effects now. If you experience any discomfort, please schedule an appointment with a neurologist.[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Understanding Lateral Lumbar Swelling in Children: When to Seek Help
My son has a lateral protrusion in his lumbar spine that feels like fluid-filled tissue when pressed? My son has a lateral protrusion in the lumbar region that feels like fluid upon palpation, and the skin is reddened. What could be the possible conditions? I have taken photos, b...
Dr. Zhang Junwei Reply:
Spine surgery or neurosurgery.[Read More] Understanding Lateral Lumbar Swelling in Children: When to Seek Help
Understanding Facial and Head Numbness: Causes and Treatment Options
Numbness and swelling in the head and face? Hello doctor, I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a neurological examination of my head and facial nerves, and the...
Dr. Lai Zhaokang Reply:
Hello: Your symptoms require an evaluation of intracranial lesions and facial nerve disorders... Additionally, a detailed investigation of the cervical spine nerves may be necessary. Based on your description [...lying semi-reclined on the bed with your head turned to the right w...[Read More] Understanding Facial and Head Numbness: Causes and Treatment Options
Post-Surgery Complications of Lumbar Disc Herniation: A Patient's Journey
Abnormal Conditions After Surgery for Intervertebral Disc Stenosis and Herniation Hello Doctor, I would like to consult you regarding my condition. I have been diagnosed with L4-L5 disc stenosis and L5-S1 disc herniation. On February 10th of this year, I underwent endoscopic deco...
Dr. Lai Zhaokang Reply:
Hello Xiaowen: Physical therapy can be implemented. However, you have already undergone two surgeries by other doctors, and the situation is more complex. The second surgery was 1.5 months ago. It is advisable to have a physician evaluate whether an MRI follow-up is necessary. Be...[Read More] Post-Surgery Complications of Lumbar Disc Herniation: A Patient's Journey
Effective Treatment Options for Sciatica and Spinal Stenosis
Sciatica Hello, doctor. My father previously had surgery for spinal bone spurs (with a spacer inserted), but now the bone spurs have recurred. He has undergone an MRI, and I would like to ask what treatment options are currently available, or what surgical methods there are. Than...
Dr. Lai Zhaokang Reply:
Hello: 1. We need to review the new MRI and X-rays to understand the current relative condition of the vertebrae in order to provide a more accurate response. 2. It may be necessary to remove the bone spurs again, decompress the area, and implant new spacers or stents, or perform...[Read More] Effective Treatment Options for Sciatica and Spinal Stenosis
Post-Traumatic Intracranial Hemorrhage: Follow-Up Care and Concerns
Follow-up for traumatic intracranial hemorrhage? On May 22, my mother was involved in a car accident and was sent to the hospital. She suffered a right skull fracture, traumatic intracranial hemorrhage, subarachnoid hemorrhage, subdural hematoma, and contusion with hemorrhage in ...
Dr. Zhang Junwei Reply:
Blood clots will be absorbed, and the chance of rebleeding is low; prevention is not possible.[Read More] Post-Traumatic Intracranial Hemorrhage: Follow-Up Care and Concerns
Understanding Spinal Fusion: Pros and Cons of Coflex Implants
Spinal fusion self-funded implants Hello, Director Zhang! I have rheumatoid arthritis and the following conditions: my bone density is relatively okay, but I have vertebral slippage, spinal instability, vertebral collapse, and a herniated disc, which necessitates spinal fusion su...
Dr. Zhang Junwei Reply:
There are many different methods and techniques for spinal surgery, making it impossible to explain each one in detail. It is recommended that you find a trusted physician and place your confidence in them.[Read More] Understanding Spinal Fusion: Pros and Cons of Coflex Implants
Understanding Dizziness Duration After Brain Hemorrhage: What to Expect
Duration of dizziness in cerebral hemorrhage? Hello Doctor, my mother was in a car accident on June 17th in the afternoon. She suffered a direct impact to her head, and after an emergency CT scan, it was found that she had slight intracranial hemorrhage. After evaluation by the e...
Dr. Zhang Junwei Reply:
Increasing dizziness is abnormal. Generally, dizziness can alleviate within 1-2 weeks.[Read More] Understanding Dizziness Duration After Brain Hemorrhage: What to Expect
Minimally Invasive Spinal Fusion Techniques: What You Need to Know
Minimally Invasive Spinal Fusion Hello, Director Lai! I have rheumatoid arthritis, and my wound healing and bone density are okay. However, I have some instability and collapse in my L4 and L5 vertebrae. The doctor mentioned that the oblique lumbar interbody fusion (OLIF) is not ...
Dr. Lai Zhaokang Reply:
Hello Ms. Amin: You inquired about OLIF last month, and now you are asking about other surgical options for the L4-5 spondylolisthesis. You might be experiencing decision fatigue! I understand your hesitation. In fact, rheumatoid arthritis combined with L4-5 spondylolisthesis is ...[Read More] Minimally Invasive Spinal Fusion Techniques: What You Need to Know
Understanding Post-Surgery Numbness After Lumbar Disc Surgery
Hello, doctor? I underwent a discectomy for a herniated disc on May 27, and I have a stabilizer installed. Before the surgery, I experienced numbness in both feet, but now, 20 days post-operation, my feet are still numb. Is this normal? Will it get better? My doctor prescribed B1...
Dr. Lai Zhaokang Reply:
Hello, I suggest that in this post-surgery situation, you should consult your original surgeon for further evaluation. Since you chose him initially, it's important to trust his expertise. Additionally, you have not provided any pre-operative imaging or post-operative images...[Read More] Understanding Post-Surgery Numbness After Lumbar Disc Surgery
Understanding Back Pain, Chest Tightness, and Spinal Compression Symptoms
Lower back pain, chest tightness, dizziness, spinal compression? Hello doctor, after undergoing an iliac vein catheter examination in early April, I began to experience discomfort in my lower back and buttocks. The back pain worsened, and about two months ago, while stretching my...
Dr. Lai Zhaokang Reply:
Hello, the preliminary assessment suggests issues related to the spine and autonomic nervous system. It is recommended to consult a neurosurgeon (spine neurosurgeon) for further evaluation and to arrange for examinations. Best wishes from Dr. Lai Chao-Kang, Chief of Spine Neurosu...[Read More] Understanding Back Pain, Chest Tightness, and Spinal Compression Symptoms
Understanding Brain Cysts: Management and Risks in Adolescents
Brain cyst A 13-year-old has experienced a cerebral hemorrhage and underwent external drainage. During surgery, a benign cyst was discovered but was ruptured by the blood. The doctor recommended placing a ventriculoperitoneal shunt, which would be a lifelong procedure. After care...
Dr. Zhang Junwei Reply:
Without detailed medical history and imaging studies, it is not possible to answer such questions.[Read More] Understanding Brain Cysts: Management and Risks in Adolescents
Head Injury from Garbage Bin: Symptoms and Follow-Up Care
Head injury on May 30, 2022? Hello Dr. Chang, I would like to ask about an incident that occurred on May 30th. I was hit on the head by the lid of a large green garbage bin at a landfill, which fell at a 90-degree angle (I was trying to retrieve something I accidentally threw awa...
Dr. Zhang Junwei Reply:
Headaches and dizziness are common after head trauma. If symptoms persist, please visit a neurosurgery outpatient clinic for evaluation.[Read More] Head Injury from Garbage Bin: Symptoms and Follow-Up Care
Understanding Post-Extraction Cognitive Issues: Is Tooth Removal to Blame?
Abnormal brain function? 1. Can tooth extraction lead to the aforementioned brain issues? 2. Could the extraction of two molars at once have caused damage to the brain? 3. If tooth extraction does not cause any brain damage, what could explain my current condition? I was very...
Dr. Zhang Junwei Reply:
Theoretically, tooth extraction should not cause brain-related issues. If there are any neurological symptoms, please consult a neurologist or psychiatrist. I am unable to address dental issues such as tooth extraction.[Read More] Understanding Post-Extraction Cognitive Issues: Is Tooth Removal to Blame?
Recovery Timeline After C5-6 Artificial Disc Replacement Surgery
C5-6 artificial intervertebral disc replacement surgery? Hello, I have been experiencing numbness and pain in my left thumb and index finger. After visiting the doctor, X-rays and an MRI revealed severe foraminal stenosis on the left side with bone spurs compressing the nerve roo...
Dr. Lai Zhaokang Reply:
Hello: You can start with observation, medication, and follow-up for one month. If there is no improvement, please consult the original surgeon. Best wishes from Dr. Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.[Read More] Recovery Timeline After C5-6 Artificial Disc Replacement Surgery
Understanding Arachnoid Cysts: Treatment, Growth, and Symptoms Explained
MRI of the brain revealed the presence of a cyst? Hello Doctor, I had a brain MRI at the end of March, and the report indicated a suspected arachnoid cyst or mega cisterna magna in the posterior fossa of the cerebellar tonsils. 1. What treatment options are available for this...
Dr. Lai Zhaokang Reply:
1. Arachnoid cysts are generally asymptomatic. When symptoms do occur, they can vary from person to person. They may include headaches, dizziness, nausea, vomiting, or seizures. Other symptoms depend on the location of the cyst and its pressure on the spinal cord or brain. These ...[Read More] Understanding Arachnoid Cysts: Treatment, Growth, and Symptoms Explained
Understanding Head Injuries: Symptoms, Risks, and When to Seek Help
Head trauma I'm sorry to hear about your situation. Based on your description, it sounds like you may be experiencing symptoms that could be associated with a concussion, especially given the impact to your head and the subsequent headache, dizziness, and bruising near your ...
Dr. Zhao Shaoqing Reply:
If there is a pre-existing concussion, it is advisable to rest. If symptoms such as vomiting or nausea worsen, seek an outpatient evaluation.[Read More] Understanding Head Injuries: Symptoms, Risks, and When to Seek Help
Understanding Leg Numbness and Tingling After Prolonged Sitting or Standing
Experiencing numbness in the legs after sitting cross-legged for an extended period? Hello, doctor. Today I walked and stood for a longer time, and I also sat cross-legged for a while. Is it normal to feel slight numbness and a bit of itching in both legs up to the hips when lyin...
Dr. Zhao Shaoqing Reply:
Hello: The symptoms resemble those of sciatica pain. It is possible that there may be muscle strain or intervertebral disc degeneration. It is recommended to visit a hospital for further examination. Thank you for your concern from Changhua Hospital, Ministry of Health and Welfar...[Read More] Understanding Leg Numbness and Tingling After Prolonged Sitting or Standing
Understanding Head Injuries in Elderly: When to Seek Medical Attention
Head injury I would like to consult a doctor. My grandmother, who is 80 years old, fell at home on the morning of May 18, 2022, around 9 AM. She hit her head and developed a bump. When we helped her up, she mentioned that the area where she was hit felt numb and was slightly pain...
Dr. Zhang Junwei Reply:
Purple eyelids indicate a bruise. It is important to check for symptoms such as headache, dizziness, nausea, or vomiting; if any of these are present, medical attention should be sought.[Read More] Understanding Head Injuries in Elderly: When to Seek Medical Attention
Can You Masturbate After a Concussion? Expert Insights on Recovery
Is it safe to masturbate after a concussion? Hello Doctor, I bumped the back of my head on May 26th, but it wasn't very hard. After texting a doctor I know about my symptoms, he assessed that it might be a concussion, so I didn't go to see a doctor. Currently, I have sy...
Dr. Zhang Junwei Reply:
Not necessarily.[Read More] Can You Masturbate After a Concussion? Expert Insights on Recovery